ANALYSIS OF EXTREMITY FOREIGN BODY INJURIES Ekstremite Yabancı Cisim Yaralanmalarının Analizi

Erdi İmre

doi:10.16919/bozoktip.1142598

ANALYSIS OF EXTREMITY FOREIGN BODY INJURIES Ekstremite Yabancı Cisim Yaralanmalarının Analizi

Abstract

ABSTRACT Objective: Extremity foreign body injuries are common in trauma departments. In this study, we aimed to find a relation to demographics, treatment methods, injury characteristics, environmental and injury conditions so that prevention methods could be more effective. Material and Methods: Hospital digital archives were searched between July 2014 and March 2020 retrospectively and 146 patients were included. The demographic information, injury place, injured extremity with side, foreign body type and opacity, presence of infection, type of anesthesia performed, operation time, incision length were recorded. Data were analyzed statistically. Results: The mean age of the patients was 25.9 ± 17.99 (2-78). According to gender and side examination, 90 patients were male and 56 patients were female. Metallic object and bullet injuries were mostly seen in males and needle injuries were mostly seen in females. Injuries caused by metallic objects were significantly more common in the upper extremity (p: 0.001). Glass and needle injuries were seen significantly as indoor injuries; as well as bullet, wooden part, and metallic part injuries were seen as outdoor injuries (p<0.001). The infection rate was significantly higher in outdoor injuries (p: 0.006). Age (p: 0.005), operation time (p: 0.007) and incision length (p: 0.019) were significantly higher in outdoor injuries. Indoor injuries were significantly higher under 18 years of age (p:0.036). There was a significant correlation between upper extremity injury and age (r: 0.358, p <0.001) and between upper extremity injury and male gender (r: 0.241, p: 0.003). Conclusion: Foreign body injuries are common injuries seen in wide age range. Antibiotic prophylaxis and tetanus vaccine should be applied as primary care. Since firearm injuries, wooden part injuries, and injuries in the rural environment are found to be associated with infection, further studies are needed to discuss extending the duration of antibiotic prophylaxis in these cases.

Keywords

References

1. Gulati D, Agarwal A. Wooden foreign body in the forearm - presentation after eight years. Ulus Travma Acil Cerrahi Derg. 2010;16(4):373-5.
2. Kurtulmuş T, Sağlam N, Saka G, Imam M, Akpinar F. Tips and tricks in the diagnostic workup and the removal of foreign bodies in extremities. Acta Orthopaedica et Traumatologica Turcica. 2013;47(6):387-92.
3. Özer M, Türker M, Başbuğ V, Kesik K, Türkmen F, Kaçıra BK, et al. Evaluation of Deep-Seated Soft Tissue Foreign Bodies According to Gender and Age Groups. Selcuk Medical Journal. 2019;35(1):24-30.
4. Uludağ A, Tosu HB, Çiçek N, Şirik M, Uludağ Ö, Atiç R. Surgical approach to foreign bodies observed in the soft tissue of extremities after injury. Dicle Medical Journal. 2019;46(2):215-23.
5. Öztürk AM, Aljasim O, Şanlıdağ G, Taşbakan M. Retrospective evaluation of 377 patients with penetrating foreign body injuries: a university hospital experience (a present case of missed sponge foreign body injury). Turkish Journal of Medical Sciences. 2021;51(2):570-82.
6. Agarwal A. Foreign Body-Related Extremity Trauma in Children: A Single-Center Experience. Indian Journal of Orthopaedics. 2018;52(5):481-8.
7. Alemdar C, Demirtaş A, Azboy İ, Gem M, Özkul E, Bulut M, et al. Orthopedic Approach to Foreign Body Injuries. J Clin Exp Invest. 2013;4(4):443-8.
8. Ekinci Y, Gürbüz K, Çirakli A, Ekinci D, Çirakli S. Pseudomonas aeruginosa as a Cause of Septic Arthritis After a Sewing Needle Injury. Ege Journal of Medicine. 2016;55(2):95-7

Details

Primary Language

Turkish

Subjects

Orthopaedics

Journal Section

Research Article

Authors

Erdi İmre
Türkiye

Publication Date

June 15, 2023

Submission Date

June 1, 2023

Acceptance Date

June 2, 2023

Published in Issue

Year 2023 Volume: 13 Number: 2

DOI

https://doi.org/10.16919/bozoktip.1142598

IZ

https://izlik.org/JA35FN42PL

Cite

RIS / Bibtex

APA

İmre, E. (2023). ANALYSIS OF EXTREMITY FOREIGN BODY INJURIES Ekstremite Yabancı Cisim Yaralanmalarının Analizi. Bozok Tıp Dergisi, 13(2), 14-20. https://doi.org/10.16919/bozoktip.1142598

AMA

1.İmre E. ANALYSIS OF EXTREMITY FOREIGN BODY INJURIES Ekstremite Yabancı Cisim Yaralanmalarının Analizi. Bozok Tıp Dergisi. 2023;13(2):14-20. doi:10.16919/bozoktip.1142598

Chicago

İmre, Erdi. 2023. “ANALYSIS OF EXTREMITY FOREIGN BODY INJURIES Ekstremite Yabancı Cisim Yaralanmalarının Analizi”. Bozok Tıp Dergisi 13 (2): 14-20. https://doi.org/10.16919/bozoktip.1142598.

EndNote

İmre E (June 1, 2023) ANALYSIS OF EXTREMITY FOREIGN BODY INJURIES Ekstremite Yabancı Cisim Yaralanmalarının Analizi. Bozok Tıp Dergisi 13 2 14–20.

IEEE

[1]E. İmre, “ANALYSIS OF EXTREMITY FOREIGN BODY INJURIES Ekstremite Yabancı Cisim Yaralanmalarının Analizi”, Bozok Tıp Dergisi, vol. 13, no. 2, pp. 14–20, June 2023, doi: 10.16919/bozoktip.1142598.

ISNAD

İmre, Erdi. “ANALYSIS OF EXTREMITY FOREIGN BODY INJURIES Ekstremite Yabancı Cisim Yaralanmalarının Analizi”. Bozok Tıp Dergisi 13/2 (June 1, 2023): 14-20. https://doi.org/10.16919/bozoktip.1142598.

JAMA

1.İmre E. ANALYSIS OF EXTREMITY FOREIGN BODY INJURIES Ekstremite Yabancı Cisim Yaralanmalarının Analizi. Bozok Tıp Dergisi. 2023;13:14–20.

MLA

İmre, Erdi. “ANALYSIS OF EXTREMITY FOREIGN BODY INJURIES Ekstremite Yabancı Cisim Yaralanmalarının Analizi”. Bozok Tıp Dergisi, vol. 13, no. 2, June 2023, pp. 14-20, doi:10.16919/bozoktip.1142598.

Vancouver

1.Erdi İmre. ANALYSIS OF EXTREMITY FOREIGN BODY INJURIES Ekstremite Yabancı Cisim Yaralanmalarının Analizi. Bozok Tıp Dergisi. 2023 Jun. 1;13(2):14-20. doi:10.16919/bozoktip.1142598